Individual provider Active NPI

Liliana Martin del Campo Lustig

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1407372022
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081211 Issued in DC
Practice address
811 4TH St NW Unit 914
Washington, DC 20001-4921
Phone
(202) 390-4505
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21818 AZ
Clinical Social Worker 1041C0700X LC50081211 DC Primary

Addresses

Primary practice location

811 4TH St NW Unit 914
Washington, DC 20001-4921

Mailing address

1325 18TH Street NW #707
Washington, DC 20036-7590
Phone (202) 390-4505

Other names 1

  • Liliana Martin del Campo Lustig Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21818AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc CurrentSince Jul 29, 2024 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Apr 1, 2023 Accepting new patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare Inc CurrentSince Jul 29, 2024 Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15351 W Bell Rd
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

12900 Park Plaza Dr
Cerritos, CA 90703
Phone (562) 622-2800

1505 Maryland Ave NE
Washington, DC 20002
Phone (202) 396-1760

20 F St NW
Ste 700
Washington, DC 20001
Phone (202) 396-1780

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1407372022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 18TH STREET NW #707",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200367590",
            "telephone_number": "202-390-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 4TH ST NW UNIT 914",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014921",
            "telephone_number": "202-390-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN DEL CAMPO LUSTIG",
        "first_name": "LILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "21818",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIANA",
            "last_name": "MARTIN DEL CAMPO LUSTIG",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.